Sherry Ann Goshen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2018007945 Issued in MO

Practice address

12 N Kings Hwy
Perryville, MO 63775

Phone

(573) 547-3116

NPI assigned

Sep 28, 2015

Last updated

Jul 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1487024956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N KINGS HWY",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751367",
            "telephone_number": "573-547-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N KINGS HWY",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "63775",
            "telephone_number": "573-547-3116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 Plantation Blvd",
            "address_purpose": "LOCATION",
            "city": "Sikeston",
            "state": "MO",
            "postal_code": "638015736",
            "country_code": "US",
            "telephone_number": "573-471-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSHEN",
        "first_name": "SHERRY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018007945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin Lee Flentge, AGACNP-BC
• Craig A Frayer, D.O.
• Fresenius Perryville Outpatient Dialysis Services Center, LLC (Perry County Dialysis Center)
• Maripat L Gatter, MD
• Kelly Gerrein
• Darryl A Green, MD
• Faith Grove, MD
• Mary Hadler, OTR/L
• Kelley Haertilng
• Dominic Jeffrey Haertling, MD

• Clinical Social Worker in Perryville, MO
• Providers in Perryville, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.